Individual
DR. MZIYA ITZKEVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7136 110TH ST APT 1E, FOREST HILLS, NY 11375-4834
(718) 896-0105
(718) 896-0108
Mailing address
7136 110TH ST APT 1E, FOREST HILLS, NY 11375-4834
(718) 896-0105
(718) 896-0108
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
214319
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01971640
—
NY
Enumeration date
10/05/2006
Last updated
07/08/2007
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